%0 Journal Article
%T Craniopharyngioma in a patient with acromegaly due to a pituitary macroadenoma
%A El-Bilbeisi Hazem
%A Ghannam Mohammad
%A Nimri Caramella
%A Ahmad Azmi
%J Annals of Saudi Medicine
%D 2010
%I King Faisal Specialist Hospital and Research Centre
%X We present the first reported case of a craniopharyngioma as a second primary tumor in a patient with acromegaly due to a growth hormone (GH)-secreting pituitary adenoma. The patient was lost for follow-up for 18 years after trans-sphenoidal pituitary surgery for a GH-secreting pituitary adenoma. She presented with headaches and decreased visual acuity, and showed unsuppressed GH in an oral glucose load test with high IGF-1 levels. Brain MRI showed a suprasellar cystic mass and the patient underwent surgery for cyst drainage resulting in postoperative improvement in her vision. Biopsy of the mass confirmed the diagnosis of a craniopharyngioma. We stress the need for close follow-up of patients with acromegaly with adequate control of GH and IGF-1 levels.
%U http://www.saudiannals.net/article.asp?issn=0256-4947;year=2010;volume=30;issue=6;spage=485;epage=488;aulast=El-Bilbeisi